Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    ACLS and EKG classes needed for ICU?

    Chisca replied to Joe NightingMale's topic in MICU, SICU

    If you are motivated, no, you don't need to take an EKG class. But you do need a good understanding of EKG's. Get Dubin's Rapid Interpretation of EKG's and if you can digest that you will have a good...
  2. Chisca

    They must think we are stupid...

    Chisca replied to HDNurse's topic in Dialysis, Renal, Urology

    When I saw the title of this thread I thought it was going to have something to do with the way management treats nurses. The only hope this patient has is if somebody can make a connection with them...
  3. Chisca

    Dialysis RN vs Critical Care ICU RN?

    Chisca replied to RNStudentJJC's topic in Dialysis, Renal, Urology

    ICU first. There is a real element of what I call "factory" nursing in the dialysis setting. Patients are treated like they are on an assembly line with the emphasis being on productivity and speed. A...
  4. Chisca

    Room Temperature

    Chisca replied to Mother Goose's topic in Dialysis, Renal, Urology

    Any idea what the patients think of them? I love the ones in my
  5. Chisca

    Room Temperature

    Chisca replied to Mother Goose's topic in Dialysis, Renal, Urology

    If cars can have heated seats why can't dialysis
  6. Chisca

    removing dialysis increases temp

    Chisca replied to bjaeram's topic in CCU, Coronary, Cardiac

    Cytokine removal? Dialysis does remove circulating cytokines so maybe enough of these were removed to cause the decrease in
  7. Chisca

    Bring a fellow union member with you..advice union members

    Chisca replied to massrn116's topic in General Nursing

    Your presence is to prevent intimidation by management. You don't have to defend the nurse's conduct, that's her problem. Your responsibilty is to report back to the union if you feel management is...
  8. Chisca

    Don't check residuals?

    Chisca replied to TangoLima's topic in MICU, SICU

    If a patient has delayed gastric emptying you may occassionally pull a high residual but it doesn't mean the patient isn't tolerating the feedings. Our bodies are not designed to have a steady trickle...
  9. Chisca

    In Hospital On Call

    Chisca replied to karih23's topic in General Nursing

    Why the "in house" requirement? If there was a gym close by I would be working out or at least do something productive with the down time. Maybe the physical therapy department would allow use of...
  10. Chisca

    How do your units/hospitals judge acuity and staffing loads?

    Chisca replied to mappers's topic in General Nursing

    Management staffs by what they think they can get away with. I find it rather humorous that a nursing supervisor can make a walking round, basically a snapshot in time, and determine that any given...
  11. Chisca

    should i invest in a new steth?

    Chisca replied to erin01's topic in CCU, Coronary, Cardiac

    The problem with the Littmans are inherent in the design. They are a tube inside of a tube and do not transmit sounds as well as seperate tubes. I don't think Phillips still makes the original...
  12. Chisca

    Strong vs. weak RN

    Chisca replied to Ariyala's topic in General Nursing

    Whatever dynamic that exists between these nurses was created long before you arrived. Keep focused on your educational goals, be the best nurse you can for your patients, and stop seeking approval...
  13. Chisca

    Strong vs. weak RN

    Chisca replied to Ariyala's topic in General Nursing

    Have you taken the CCRN exam
  14. Chisca

    Leveling of A/L in Side-Lying Pt?

    Chisca replied to All4Seasons's topic in MICU, SICU

    Meandragonbrett is right, it is the phlebostatic axis as the correct point. Zeroing to the tip of the catheter will give you the pressure in the arterial tree. What you are concerned with is the...
  15. Chisca

    Leveling of A/L in Side-Lying Pt?

    Chisca replied to All4Seasons's topic in MICU, SICU

    I always thought arterial lines were leveled to the tip of the
  16. Chisca

    I wished I worked @ Wal-Mart

    Chisca replied to WindyhillBSN's topic in General Nursing

    I think every department has been cut to the bone and is working short staffed. I've always liked working in places with a satellite pharmacy because there was more personal interaction with the...
  17. Chisca

    ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    Chisca replied to Scrubs911's topic in MICU, SICU

    It is only common in those units that have no interest in retaining their staff. Just for fun measure the acuity of the three patients you are assigned.http://www.sfar.org/scores2/tiss282.html...
  18. Chisca

    Dialysate temperature in hemodialysis

    Chisca posted a topic in Dialysis, Renal, Urology

    During hemodialysis one method of improving blood pressure is reducing the temperature of the dialysate to 35-36 degrees c. What about warming dialysate for patient comfort? I am aware of literature...
  19. Chisca

    what?...q 15 NIBPs with an art line???

    Chisca replied to ICUmama's topic in MICU, SICU

    What I'm sensing is that nurses are using NIBP correalation as an independent criteria as whether or not an arterial line is accurate. Again, no published evidence to support this
  20. Chisca

    what?...q 15 NIBPs with an art line???

    Chisca replied to ICUmama's topic in MICU, SICU

    is that what you get out of my post? i was trying to express my frustration with the practice of accepting nibp pressures over direct arterial measurements in critically ill patients. there is no...
  21. Chisca

    It can happen to anyone, anytime

    Chisca replied to HDNurse's topic in Dialysis, Renal, Urology

    I can't remember where I read it but there are more codes on Monday than any other day in dialysis. The added stress of going two days without dialysis being the contributor along with more patients...
  22. Chisca

    what?...q 15 NIBPs with an art line???

    Chisca replied to ICUmama's topic in MICU, SICU

    Correlates? Measurement of the blood pressure by art line is the gold standard, if there was a difference between NIBP and an art line that has a proper wave form, correctly calibrated, and zeroed...
  23. Chisca

    Davita vs Fresenius Acute vs Chronic Dialysis

    Chisca replied to nursetelly's topic in Dialysis, Renal, Urology

    Acute dialysis will have sicker patients and the nurse patient ratio will be lower because of this. If you are sent to dialyze a patient in ICU it will be 1:1. Chronic dialysis will involve...
  24. Chisca

    Feeding patients

    Chisca replied to Mother Goose's topic in Dialysis, Renal, Urology

    Thanks for posting your experiences NDXUFan. I've only been performing dialysis for two years and I've pretty much come full circle in my attitudes towards dialysis patients. What really struck me was...
  25. Chisca

    Identifying Dysfunctional Cultures

    Chisca replied to is5512's topic in General Nursing

    How do you spot these cultures before you make a huge mistake and commit to them? A starting point would be to select a hospital from this list....